Organization
ASSOCIATES IN DERMATOLOGY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT D WALKER MD (PHYSICIAN)
(641) 683-3195
Entity
Organization
Contact information
Practice address
1005 PENNSYLVANIA AVE, SUITE 210, OTTUMWA, IA 52501-6414
(641) 683-3195
(641) 683-3197
Mailing address
1005 PENNSYLVANIA AVE, SUITE 210, OTTUMWA, IA 52501-6414
(641) 683-3195
(641) 683-3197
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
22300
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0420471
—
IA
Enumeration date
08/08/2007
Last updated
12/14/2015
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